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IGIV-C

Phase 4

Myasthenia Gravis Exacerbations | Monoclonal antibody | Neurology |Grifols, S.A.|Trials Updated: Apr 24, 2020

IGIV-C development status

Highest phase Phase 4 (NCT01179893)
Phase scored for GRFSPhase 3
Registered trials 19 across 16 sponsors since Apr 2015

IGIV-C target and mechanism

ModalityMonoclonal antibody

Also known as IGIV-C 10%, Gamunex®, IGIVnex®, Gaminex, IVIG, BAY 41-1000, TAL-05-00004, NDC 13533-645-12

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials4
Total Enrollment224

FDA Designations

No designations recorded

IGIV-C clinical trials

IGIV-C · 4 trials · 4 indications

Phase 3 2Phase 2 2
NCT02604810Safety and Pharmacokinetics of IGSC 20% in Subjects With Primary ImmunodeficiencyPrimary Immunodeficiency
COMPLETED53 Analytics
NCT02413580A Study to Assess the Efficacy and Safety of IGIV-C in Patients With Myasthenia Gravis ExacerbationsMyasthenia Gravis Exacerbations
COMPLETED49 Analytics
PHASE3COMPLETED
Safety and Pharmacokinetics of IGSC 20% in Subjects With Primary Immunodeficiency
Primary ImmunodeficiencyUnlock trial analytics
PHASE3COMPLETED
A Study to Assess the Efficacy and Safety of IGIV-C in Patients With Myasthenia Gravis Exacerbations
Myasthenia Gravis ExacerbationsUnlock trial analytics

Study Endpoints

Primary Endpoints

AUC in the IV Phase and SC Phases: Steady-state AUC of Total IgG Over a Regular Dosing Interval
For intravenous infusion, predose, 0,1,3-16 hours and 1,2,3,5,7,14,21 or 28 days (2, 7, 21, or 28 days for pediatric subjects) post-dose and for subcutaneous infusion, pre-dose,1,3,4,5,7 days (3 and 7 days for pediatric subjects) post-dose

The primary PK endpoint (steady-state AUC values) analysis was performed using analysis of variance (ANOVA) using PK data from a total of 49 subjects from the IV phase and 39 subjects from the SC phase.

Change in Quantitative Myasthenia Gravis (QMG) Scale Score
From Baseline (Day 0) to Day 14

Mean Change in Quantitative Myasthenia Gravis (QMG) Scale Score from Baseline (Day 0) to Day 14. The minimum and maximum scores of the QMG Scale are 0 and 39, respectively, and a higher score means a worse outcome.

Improvement in Myasthenia Gravis (MG) Symptoms as Measured by the Mean Change in Quantitative Myasthenia Gravis (QMG) Total Score.
Baseline (Week 0) to Week 24

To measure improvement in MG symptoms by the mean change in QMG total score from Baseline (Week 0) to Week 24 as compared to placebo. Evaluators score 13 individual items (range from 0=best to 3=worst) and the individual scores are added together for the total score (range 0-39). An average 3-point improvement in QMG score indicates clinically meaningful improvement.

Percent of Subjects Achieving a 50% or Greater Reduction in CS Dose (Prednisone or Equivalent) From Baseline to Week 39
Baseline/Week 0 (Visit 1) and Week 39 (Visit 14).

The average daily CS dose was derived for each subject at each scheduled visit based on the prescribed dose and the time interval taking into account any prescribed dose changes between routinely scheduled visits. Subjects who discontinued the study early with adverse outcomes related to MG were considered as not achieving a 50% or greater reduction. The missing dose reduction at Week 39 was imputed using the worst observation carried forward (WOCF) method. For subjects who did not have CS dose prescribed at Week 39 due to other reasons, the last observation carried forward (LOCF) method was used to impute the prescribed CS dose at Week 39. Baseline was defined as the last non-missing measurement taken prior to first dose of study medication. The percent of subjects achieving ≥50% reduction in CS dose from baseline to Week 39 is presented for each treatment group overall and for the baseline daily prednisone equivalent dose level stratification categories.

Secondary Endpoints

Mean Steady-state Trough (Pre-dose) Concentration of Total IgG Following IV Administration of IGIV-C 10% or SC Administration of IGSC 20%
For intravenous infusion, pre-dose at Week 1 and Week 3 or Week 4 and for subcutaneous infusion, predose at Weeks 13, 14, 17, and 21
Percentage of Subjects With Clinical Improvement Assessed by QMG
Baseline (Day 0) to Day 14
Percentage of Subjects With Clinical Improvement Assessed by MG-Activities of Daily Living (MG-ADL) Scale
Baseline (Day 0) to Day 14
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
IGIV-C 10%ACTIVE_COMPARATORIV dose of Immune Globulin Injection (Human), 10% Caprylate/Chromatography Purified (Grifols)
IGSC 20%EXPERIMENTALImmune Globulin Subcutaneous (Human), 20% Caprylate/Chromatography Purified (Grifols)
IGIV-C TreatmentEXPERIMENTALIn this arm, subjects with myasthenia gravis exacerbations were treated with an IV dose of 2 g/kg of IGIV-C, which was administered over 2 consecutive days at a dose of 1 g/kg per day.
IGIV-CEXPERIMENTALIGIV-C: Immune Globulin Injection (Human), 10%, Caprylate/Chromatography Purified. An initial loading dose of 2 g/kg of body weight will be administered at Baseline (Week 0, Visit 1) followed by maintenance doses of 1 g/kg of body weight administered every third week through Week 21 (Visit 8).
PlaceboPLACEBO_COMPARATORPlacebo: Sterile 0.9% sodium chloride injection or equivalent. Placebo will be infused at the Baseline/Week 0 Visit (Visit 1) using the same volume as would be required for the IGIV-C loading dose. Subsequent placebo maintenance doses will be matched in volume to the IGIV-C maintenance doses and administered every third week until Week 21 (Visit 8).

Interventions

NameTypeDescription
IGIV-C 10%BIOLOGICALIGIV-C 10% infusions every 3 to 4 weeks based on previous IgG regimen
IGSC 20%BIOLOGICALIGSC 20% weekly infusions with dose calculated based on previous IgG regimen
IGIV-CBIOLOGICALAn IV dose of 2 g/kg of IGIV-C was administered over 2 consecutive days at a dose of 1 g/kg per day.
PlaceboDRUG -
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Eligibility Criteria

Age Range2 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites25

Inclusion Criteria: * Pre-existing diagnosis of primary immunodeficiency with features of hypogammaglobulinemia requiring IgG replacement therapy * No serious bacterial infection within the last 3 months prior to or during Screening * Currently on IgG replacement therapy (via IV or SC infusion) for...

Countries:United StatesCanadaArgentinaBelgiumCzechiaEstoniaFranceHungaryLatviaPolandRomaniaRussiaSouth AfricaGermanyLithuania
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Frequently asked questions about IGIV-C

What is IGIV-C?

IGIV-C is an investigational therapy developed by Grifols, S.A. for immune-mediated and immunodeficiency conditions. It has been studied in generalized myasthenia gravis, myasthenia gravis exacerbations, and primary immunodeficiency. The program includes completed Phase 2 and Phase 3 clinical trials.

What is IGIV-C used for?

IGIV-C has been studied for generalized myasthenia gravis, myasthenia gravis exacerbations, and primary immunodeficiency. Clinical trials enrolled adults with these conditions, including corticosteroid dependent patients with generalized myasthenia gravis. It remains investigational and is not described as approved for these indications.

Who makes IGIV-C?

IGIV-C is developed by Grifols, S.A., which trades under the ticker GRFS. The company sponsored the clinical trials evaluating IGIV-C in myasthenia gravis and primary immunodeficiency.

What phase is IGIV-C in?

IGIV-C has completed Phase 2 and Phase 3 clinical trials. The Phase 2 studies evaluated it in generalized myasthenia gravis, while Phase 3 studies covered myasthenia gravis exacerbations and primary immunodeficiency. It is an investigational agent still in clinical development.

What clinical trials is IGIV-C in?

Completed trials include NCT02473952 and NCT02473965 in generalized myasthenia gravis, NCT02413580 in myasthenia gravis exacerbations, and NCT02604810 in primary immunodeficiency. These studies were conducted across sites in the United States, Canada, and multiple European countries.

Is IGIV-C the same as IGIV-C 10%?

Yes, IGIV-C 10% is another name for IGIV-C. Both refer to the same Grifols, S.A. investigational product studied in myasthenia gravis and primary immunodeficiency clinical trials.